Ipratropium and Albuterol (Inhalation-Local)
Brand Names : Combivent, DuoNeb, salbutamol
Proper Use of This MedicineThis medicine
usually comes with patient directions. Read them carefully before using this
medicine. If you do not understand the directions or you are not sure how
to use the inhaler or nebulizer, ask your doctor, nurse, or pharmacist to
show you how to use it.
When you use the inhaler for the first time, or if you have not used it
for more than 24 hours, the inhaler may not give the right amount of medicine
with the first puff. Therefore, before using the inhaler, prime it by spraying
the medicine into the air three times. The inhaler will now be ready to give
the right amount of medicine when you use it.
When you use the inhalation solution, make sure you use a jet nebulizer
that is connected to an air compressor with a good air flow. Use a face mask
or mouthpiece to inhale the medicine.
Keep the spray away from the eyes
because this
medicine may cause irritation or blurred vision. This is especially important
for people with glaucoma. Closing your eyes while you are inhaling this medicine
may help keep it out of your eyes.
It is very important that you use ipratropium and albuterol
combination only as directed. Do not use more of it and do not use it more
often than directed.
To do so may increase the chance of serious side
effects.
Dosing - The dose of ipratropium and albuterol combination
will be different for different patients. Follow your
doctor's orders or the directions on the label
. The following information
includes only the average doses of this medicine. If
your dose is different, do not change it
unless your doctor tells you
to do so.
-
For inhalation aerosol
dosage form :
-
For symptoms of chronic obstructive pulmonary disease:
-
Adults - 2 puffs four times a day and as needed. No more than
a total of 12 puffs should be used in any twenty-four-hour period.
-
Children - Use and dose must be determined by your doctor.
-
For inhalation solution
dosage form (used
with a nebulizer):
-
For symptoms of chronic obstructive pulmonary disease:
-
Adults - Use one 3 mL (milliliter) vial in the nebulizer 4 times
a day. You may have 2 additional treatments per day if needed.
-
Children - Use and dose must be determined by your doctor.
Missed dose - If you are using ipratropium and albuterol combination
regularly and you miss a dose, use it as soon as possible. Then use any remaining
doses for that day at regularly spaced intervals.
Storage - To store this medicine:
-
Keep out of the reach of children.
-
Store away from heat and direct light. Keep unused vials of inhalation
solution in the foil pouch or carton.
-
Do not store in the bathroom, near the kitchen sink, or in other
damp places. Heat or moisture may cause the medicine to break down.
-
Do not keep outdated medicine or medicine no longer needed. Be sure
that any discarded medicine is out of the reach of children.
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